High Body Mass Index in Muscular Patients and Flank Position Are Risk Factors for Rhabdomyolysis: Case Report after Laparoscopic Live-Donor Nephrectomy

Abstract

Rhabdomyolysis is a syndrome of muscle necrosis and release of intracellular components into the circulation. Acute renal failure secondary to myoglobinuria is a common complication. We currently use little flexion of the table during donor nephrectomy and bring the table to a neutral position immediately after kidney retrieval. Postoperatively, one needs a high index of suspicion for rhabdomyolysis to avoid or at least promptly recognize this rare but potentially serious condition after any operation lasting >or=4 hours.